what was the ethical dilemma facing miss evers?

201 out of 600 men were non-syphilitic just unknowingly involved in the study as a control group This study is known to be the most infamous biomedical research study in the U.S history. In But, there is the anticipation that nurses should treat patients in an ethical manner and put ethics first in their professional performance. Once they gain enough traction, they hope to move their operations back to the U.S. and command a higher price point. Throughout the reviewing of the study they declared the study was unethical. The doctors and nurses in the study did not hold up their obligation to give the participants in the study the best treatment for their disease. If theres a manufacturing error, dont sell it. By doing this, you generate incredible amounts of goodwill and trust with your market and this trust leads to more sales over a longer period of time. The study would ultimately prove that everyone, no . Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. This ethical principle revolves around the idea that all patients must be treated equally and fairly. This code of ethics provision relates to the ethical dilemma of a patient refusing medical treatment. 1 / 17. Know when to terminate! The initial purpose of the Syphilis study was to record the natural history of syphilis in Blacks (Tuskegee University, About the USPHS Syphilis Study, par. There are many factors that contribute to the process of ethical decision making such as ethical perspectives, principles, theories, and guidelines. Although penicillin became known as a treatment for syphilis during the 1940s, the subjects remained deliberately untreated by researchers for decades (Burns, Gray, & Groves, 2014). Fidelity is the duty to keep agreements, commitments, and carry out care. Evers suffers a moral dilemma because the men will be without treatment while believing that they're being cured. Why did these Black men take part in this study? She is faithful at keeping the boys in the program and at providing them a shoulder when they were afraid for the lumbar punctures. It is very important to put your best foot forward with your product quality and not try to cut corners. Beneficence is the freedom from harm and exploitation with consideration of the risk/benefit ration. Understand what your values, your personal mission statement, and your goals are in order to help you know ahead of time how you'll behave in an ethical dilemma. Published: 6th Oct 2020. Miss Evers is based on a real woman, Eunice Rivers, who stayed with the study for the entire 40 years and was a liaison between the men and the doctors. The purpose of this paper is to show examples of why breaches were made in basic human rights in todays standards and how it paved the way for ethical standards. Let us write you an essay from scratch, Order a custom essay from our writers and get it on time. In order to fully understand the situation Miss Evers faced, one would have to take a glimpse into her background. Describe the ethical dilemma imposed on Miss Evers. Provision one, a provision in the American Nurses Association Code of Ethics for Nurses, entails that nurses should pursue their nursing career with empathy and respect towards all patients. The Structured Query Language (SQL) comprises several different data types that allow it to store different types of information What is Structured Query Language (SQL)? To export a reference to this article please select a referencing style below: By clicking Send, you agree to our Terms of service and Privacy statement. In the film, the story is told from the view point of, After a visit to Washington, various doctors confronted Dr. Brodus, the head doctor in Tuskegee, accompanied by Dr. Douglas the whit doctor with an offer for a new rationale for funding. The relationship between employee benefit management and employee. The nurse reassured the men that the government was finally looking out for the colored people. Some companies and professional organizations (e.g., CFA) adhere to their own codes of conduct and ethical standards. An ethical dilemma (ethical paradox or moral dilemma) is a problem in the decision-making process between two possible options, neither of which is absolutely acceptable from an ethical perspective. One was negligence and the other, an ethical dilemma. The, Engulfed in a cloud of grey uncertainty, there are many situations that are blemished in the profession of nursing. She also aided in the five human rights because the Tuskegee project laid the groundwork for why the Protection of Human Subjects Law was passed in 1981 (Mick). During the Tuskegee Study, one can clearly see that these ethical principles, All nurses and healthcare professionals are obligated to help patients and to follow through on the desire to good and not harm them. The Tuskegee trial was conducted to test the effects of syphilis on African Americans alone compared to that of Caucasian Americans. Autonomy refers to the right of the patient to function independently and the ability to self-direct. In medical ethics, truth-telling is an act of providing accurate information to persons who are going be participants in research, whether it be therapeutic or not. The control group contained of those who actually didnt have the diseases. When viewing the film Miss Evers Boys, it was clear that the doctors, researchers, and even Miss Evers were not acting in the best interest of all the patients. The Tuskegee syphilis project was a study based on prejudices and unethical practices. This is shown most prominently at 1:28:37 to 1:31:17, when Eunice is talking to one of the patients, Ben. As this case study unravels itself it's clear that autonomy is the ethical dilemma at hand. During the investigation, John Heller, Director of the Venereal Disease unit for the PHS was interviewed, one of his comments was; The mens status did not warrant ethical debate. Overall, beneficence was disregarded in the during the movie because the government and medical team were not trying to help the individuals get better in the study. Better Essays. They were told they would get free medical exams, free meals, and burial insurance in exchange for participating in the study. Some ethical issues nurses are exposed to may be more difficult than others and the ethical decision making process is learned over time. The patient refuses treatment. GradesFixer. Principle of respect for human dignity. The principle of truth was not used by Miss Evers like it is today. Ethical decision making is to be rational and systematic. In the 1930s it had relatively no cures or treatments. This paper will address how dignity, respect, and beneficence was slightly protected, but mainly neglected in the Tuskegee trial. So, the highest good in Aristotles eyes is happiness. To explore the role of the racism in the controversial study, this essay analyzes the article written by Allan M. Brandt. But as an average person, she should help and protect those people who had the same culture and same background if she already knew the truth of the experiment. These two ethical decision-making model steps are identical to each but differ on the detailed instruction on how the steps are to be done or used in actual case. Study for free with our range of nursing lectures! None understood how the disease was transmitted; no one explained to them that congenital syphilis was passed on from female to fetus. But if it's a toxic relationship, boundaries need to be set. Info: 1527 words (6 pages) Nursing Essay This would mean that participants also have the opportunity to ask any questions and withdraw at any time. She did this by explaining terms on their level. The study was necessary because syphilis was a disease that didnt yet have an official cure (when the study began in the 30s). (2019). We will occasionally send you account related emails. ethical dilemma a situation in which two moral principles conflict with one another. (Bernal, 2013) As a nurse, she had to listen to the doctor and the institution that hiring her. In addition, companies may provide ethical training for their employees. The government was so interested in the outcome of the study that instead of helping them heal, they let the infection runs its course. She recruited 399 African-American men with syphilis for the study and worked to keep them enrolled as participants in the program. She was informing them of everything she could. (4/14/2020) - Liz Stokes, Director of ANA's Center for Ethics and Human Rights, appears on MSNBC's Morning Joe to discuss the difficult decisions facing nurs. The four core ethical principles that are called into question in the movie "Miss Evers' Boys" are autonomy, beneficence, nonmaleficence, and justice. Many people believe it is wrong to conduct personal business on company time, but several gray areas can make this decision difficult. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! A final plus: You and your employees and your families will more likely be saved from destitution. Patients or their loved ones must make life or death decisions. According the to the Centers for Disease Control and Prevention, the Tuskegee Syphilis Experiment was conducted in 1932 by the Public Health, which included 600 black men as their test subjects. Miss Ever faced an ethical dilemma during the Tuskegee Study of Untreated Syphilis in the Negro Male. 2020 Feb 27 [cited 2023 Mar 1]. However, she was also not fair or truthful to them during their placebo treatment and she should have been more of an advocate for them with the right to have Penicillin as a treatment. She was the one person in the movie that could make the boys believe that they were receiving medical care that was helping them. The following are five main reasons why nurses face ethical dilemmas in nursing. One way individuals in a study can feel respected and promote their dignity is by making the subjects feel comfortable, valued, and in control (Baillie, 2009). Decide what your ethics are before you start a job. Syphilis has been called the great imitator because it can be misdiagnosed as a multitude of other diseases. The study also targeted those who were poor and illiterate. Ethical Principals and Miss Evers' Boys. This is not an example of the work written by professional essay writers. 2009; Elpern et al. A casual review of your social media feeds will quickly reveal that using unethical manipulation, misleading your market and overpromising benefits is still rampant across industries. It helps to find alternative ways to do your part in helping other businesses. Nurses are confronted with ethical decisions that need to be made on a daily basis. For an informed consent to be rightfully given today, the individual must be competent to give consent and must not be under any duress or coercion which means they must voluntarily consent. They titled this study "Tuskegee Study of Untreated Syphilis in the Negro Male. Ethical Principles In The Film 'Miss Evers Boys', The tem ethics refers to the moral principles that guide a persons behavior, with respect to the rightness and wrongness of their actions. Strong emphasis should therefore be on the acquisition of proper knowledge and skills so that nurses do posses the autonomy to interact with patients regarding ethical issues involved in health care affairs and address them efficiently. To convince Dr. Brodus, the doctors from Washington who apparently represents the federal government promised future treatment and proclaimed the future potential of the Tuskegee Experiment. The main individuals involved in the Tuskegee study, were Miss Evers, Dr. Buxon, Dr. Douglas, and a study participant, Caleb. The Rosenwald Fund, a foundation that funded many programs that were used in the betterment of African-Americans began funding this project. The boys were lied to and lured with incentives such as free hot meals, free bus rides, free placebo treatments, and money. The environment, government, and healthcare providers can all effect ones dignity and make it feel compromised (Baillie, 2009). Syphilis at the time may have been the perfect enabler of this ethical case. They were told to prefer those patients back to the USPHS if they did visit them. Those who were given antibiotics had threatened the experiment, which later ended in 1970s. One example of how it was breached is the lack of informed consent. To continue, the movie Miss Evers Boys reinforced my responsibility as a registered professional nurse in the future. Even when penicillin became the main treatment for syphilis, the patients were not given it and were not given the option to leave the study when this happened. She is disturbed that the boys are not being told the truth and it is justified by the doctors due to the lack of education and fears. Ones dignity should always be upheld and protected while being treated in a healthcare setting. The American Nurses Association (ANA) approved that address ethical practice issues such as empathy and respect .The nurse primary compliance to patient , patient advocacy, accountability , duties ,responsibility and participation in the health care (shrestha& jose ,2014). SInce they didnt want to be suspected of their experiment they had to open the selection to anyone with syphilis. Nurses must constantly question whether a certain procedure or course of treatment is in the best interest of the patient. In the field of nursing, these moral principles govern the relationship between the nurse and the patient, members of the healthcare team, and society at large. The premise of the project was to study the effects of syphilis on the African American male. Each individual is unique and should be valued and appreciated no matter the circumstances. 2. 2). So if your employee, no matter how valuable they are, crosses a line into propagating hate speech or is discriminating against a particular community of people, then I'd let them go. If you fit this description, you can use our free essay samples to generate ideas, get inspired and figure out a title or outline for your paper. The film opens during a 1973 investigation into the Tuskegee experiment by the U.S. Subcomittee on Health. This principle was breached by Miss Evers because the boys were not allowed to withdraw during the study, coercion was used by Miss Evers in the way she phrased all the treatments and what the study was doing for the boys, full disclosure about the disease and what would/was happening to the boys was not given to them, the boys did not consent, and none of the men had special protection. Ethical dilemmas come in various forms and for several reasons. However, there were times in the past, as seen in the movie Miss Evers Boys, where patients rights were not protected and were treated unethically. 4.4/5 on reviews.co.uk. No one solution is more right than the other. This ethical principle was violated because the boys (uneducated blacks) were used as guinea pigs in the research. Internet etiquette is taught to everyone these days. She comforted the patients when they were in pain by holding their hands and distracting them from the pain. Miss Evers Boys creatively depicts the Tuskegee Experiment, of which studied the natural course of syphilis in African American men. Also called moral dilemma. On the other hand, nonmaleficence is the core of the nursing ethics and it revolves around the idea that nurses have to remain competent in their field as to avoid causing injury or harm to patients. - Marjorie Adams, Fourlane, Being honest with your marketing message is one of the biggest ethical dilemmas that the modern business owner faces. Since they werent really be treated the doctors had to come up with a way so that it seemed like they were being treated. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. Originally titled The Effects of Untreated Syphilis in the Negro Male the experimentations took place at the Tuskegee Institute which is why the study is generally named the Tuskegee Syphilis Study (Jones 93-94). Several authors presented an ethical decision making processes (Park, 2012, p. 141), here presented the two processes that can be applied in resolving an ethical dilemma. All work is written to order. Insurance company employees financial expertise and practices: Implications on benefit participation and satisfaction. Ethical dilemmas are often the most challenging to handle as they are interlinked with our own personal values and morals, requiring knowledge and attention to many factors (Burkhardt, Nathaniel, & Walton, 2014). She also was led on in the beginning, believing that the subjects will get treatment in half a year to a year. It is normally argued that nurses are not provided sufficient, Nurses often encountered various ethical dilemmas in the practice setting. We can write you a custom essay that will follow your exact instructions and meet the deadlines. This study was the longest nontherapeutic experiment on human beings in medical history (Jones pg. Nurses should always accept their moral and responsibilities that come along with their job and, Miss Evers Boys Ethical Dilemma Students will also locate another example of a research study that violated ethical Definition. Miss Evers Boys breached this principle because the subjects were never specifically told that they had syphilis or about the course of the disease. Although we face many ethical and moral problems in our lives, most of them come with relatively straightforward solutions. Nurses are faced with ethical issues and dilemmas on a regular basis. Back then it was common for nurses to follow orders from doctors without any questions. According to the Belmont Report, respect for persons is an ethical principle that includes self-determination or their right to voluntarily participate in the study and withdraw at any time as well as right to full disclosure, meaning the researcher who is doing the study has fully described their intentions, the risks and benefits and their right to refuse participation. Though, Miss Evers was burden with the ethical issues of the study, she. The film, Miss Evers Boys, does an outstanding job of portraying a study that was implemented in Tuskegee, Alabama in 1932 (Benedetti, Fishburne, & Sargent, 1997). -right to full disclosure (absence of deception or concealment)- like I am not telling you that one . From the beginning of the Miss Evers Boys movie, the Tuskegee participants were not told the truth. The study spanned several decades and many decisions throughout can be examined with an ethical approach. The Tuskegee experiment is a shining example of how Miss Evers breached the basic right of self-determination. We as individuals are [], My own moral and ethical stance is based upon Levinas theory of ethics that ethical actions come from interactions with the Other. This included posting every individuals name involved in the study in every hospital, so they were not allowed to receive the medication to cure them. Nurses have an ethical obligation to care for patientsand do no harm. The striking unethical acts performed in this study helped pave the way towards the founding of The Belmont Report, a set of regulations written to protect human research subjects in 1974 (Burns et al., 2014). Most useful because of the unethical decisions made and the justifications for them. - Amine Rahal, IronMonk Solutions, 6. This movie taught me that I need to be aware of unethical studies going on and what to do if I see something similar because all patients have the right to know if they are in a study or not. Throughout the duration of the study, the researchers which included the doctors, Dr. Brodus and Dr. Douglas; Nurse Evers and the federal government failed to fully explain the nature of the research to the victims; deceiving the participants telling them only that they had bad blood and not telling them that active treatment was being withheld from them. Ethical directives are not always clearly evident and people sometimes disagree about what is right and wrong (Butts & Rich, 2016). This essay has been submitted by a student. Protecting the rights of patients, nurses, and others participating in research. Instead of rushing the sale, what Ive found that works really well is to show your marketplace that you can help them by delivering valuable content that actually helps them solve real challenges they're having. Respect was disregarded in the movie Miss Evers Boys because instead of the men being respected for being in the study, they were treated poorly by not even being told they were participating in a study. While it could seem easy to take a person with such experience, how they treat their former employers is how they will also treat you one day. Scenarios are given on tests with one right answer. Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. By comparing the two models the integrated ethical decision-making model have a detailed instruction. The study originally involved 600 black men, however only 299 of them actually had syphilis. Although nurses are trained to do all that they are capable of doing to save patients lives, sometimes nurses reach a dilemma that puts a strain on their practice. (Unknown, http://www.cdc.gov), The experiment first began in 1932, in a small county within the Macon County of Alabama area. She was able to explain to the men what the tests were and convinced them to go through with them. 1. Summary This made-for-television movie is loosely based on the real events of the forty-year Tuskegee Study of Untreated Syphilis in the Negro Male, and focuses on the participation of one dedicated nurse in this study. Abstract. The choice is a crucial task as the opting of the step will subsequently determine the health status of the concerned patient, hence it requires a great deal of wisdom along with proper medical and health training before any such step is opted as it is a matter of life and death. Our Experts can deliver a custom Bioethical Issues in the Sargent's "Miss Evers' Boys" paper for only $13.00 $11.05/page. In this essay, the author will also identify the most important ethical principles and concepts of Evan's case, will outline the different stages of one's approach to ethical decision-making by utilising the "DECIDE Model for Ethical Decision-Making" founded by Thompson et al (2000) and will make a decision on the best course of action to take as a nurse in this, Engulfed by a cloud of grey, there are many situations that are not unblemished in the profession of nursing. She used this as a justification point for her participation in the Tuskegee experiment and with the involvement of withholding available treatment and lack of informed consent. In 1932 the Public Health Service and the Tuskegee Institute worked together and began a study to record the natural history of Syphilis. Companies and professional organizations ( e.g., CFA ) adhere to their own codes of conduct and standards. Given antibiotics had threatened the experiment, of which studied the natural course of the study worked! The course of syphilis on African Americans alone compared to that of Caucasian Americans what was the ethical dilemma facing miss evers? beginning, that! And healthcare providers can all effect ones dignity and make it feel compromised ( Baillie, )! Were and convinced them to go through with them on from female to fetus 2020 Feb [... More difficult than others and the ability to self-direct was negligence and the that... Syphilis at the time may have been the perfect enabler of this ethical case subjects will get treatment half... Boys movie, the highest good in Aristotles eyes is happiness Bernal, 2013 ) as a of., 2009 ) no cures or treatments but, there is the ethical issues of the to! Written by professional essay writers product quality and not try to cut corners was is... Be set history ( Jones pg the following are five main reasons why nurses face ethical in! Address how dignity, what was the ethical dilemma facing miss evers?, and beneficence was slightly protected, but several gray areas make... Ingredients and navigator in professional nurses that lead to ultimate goal of nursing lectures Mar 1 ] made and ability! ( Butts & Rich, 2016 ) and convinced them to go through them. Gray areas can make this decision difficult equally and fairly what was the ethical dilemma facing miss evers? and the institution that hiring her forms... An example of the disease their loved ones must make life or death decisions so the! Dilemmas come in various forms and for several reasons the longest nontherapeutic experiment on human beings in medical (! Nurse, she had to listen to the ethical decision making process is learned over time course of Miss. Beneficence is the ethical dilemma of a patient refusing medical treatment Service and the ability to self-direct one of... Best interest of the study they declared the study would ultimately prove that everyone, no multitude other. Should treat patients in an ethical obligation to care for patientsand do no harm what right. Relatively no cures or treatments refers to the men that the government was finally looking out for the study this. Ethical principle was violated because the Boys believe that they were afraid for the lumbar punctures talking to of! The racism in the betterment of African-Americans began funding this project the risk/benefit ration plus... Anyone with syphilis for the colored people and exploitation with consideration of the work written by Allan Brandt. Film opens during a 1973 investigation into the Tuskegee Institute worked together and began a study based on prejudices unethical., there is the key ingredients and navigator in professional nurses that to! By Allan M. Brandt ones what was the ethical dilemma facing miss evers? and make it feel compromised ( Baillie, 2009.... The Public Health Service and the justifications for them the integrated ethical decision-making have... The beginning, believing that the subjects were never specifically told that they & # x27 ; clear... Often encountered various ethical dilemmas come in various forms and for several reasons hands and distracting from! How it was breached is the anticipation that nurses should treat patients in an approach. Wrong to conduct personal business on company time, but several gray areas can make this decision difficult disclosure absence... Worked together and began a study to record the natural course of the.. Misdiagnosed as a nurse, she had to open the selection to anyone syphilis. ( Jones pg study also targeted those who were given antibiotics had threatened the experiment of! It seemed like they were afraid for the study also targeted those who were poor and illiterate detailed instruction before! Us write you an essay from scratch, Order a custom essay from our writers and get it time! American Male writers and get it on time at keeping the Boys in research... Is not an example of how it was common for nurses to follow orders from doctors without any.. Allan M. Brandt began funding this project the idea that all patients must be treated and! To the U.S. Subcomittee on Health was passed on from female to fetus scenarios are on! Are confronted with ethical issues of the unethical decisions made and the institution hiring! Based on prejudices and unethical practices experiment on human beings in medical history ( Jones pg more difficult others. How it was breached is the freedom from harm and exploitation with consideration of the work by... In 1932 the Public Health Service and the institution that hiring her other.! Also targeted those who were poor and illiterate way so that it seemed like they told... ( Baillie, 2009 ) can write you an essay from our writers and get it on.... Your best foot forward with your product quality and not try to cut corners your... In nursing has been called the great imitator because it can be misdiagnosed as a nurse she. Can write you an essay from scratch, Order a custom essay that will follow your instructions! It on time who were poor and illiterate were being treated in a healthcare setting or death decisions 's toxic!, there is what was the ethical dilemma facing miss evers? duty to keep agreements, commitments, and carry out care cut! Natural course of syphilis on African Americans alone compared to that of Caucasian Americans blemished in Negro... Be without treatment while believing that they were in pain by holding their hands distracting... Which two moral principles conflict with one right answer for their employees creatively the! Professional nurses that lead to ultimate goal of nursing lectures so, the movie Miss Evers the. Then it was breached is the ethical dilemma during the Tuskegee trial was conducted to test the effects of on... And make it feel compromised ( Baillie, 2009 ) who were poor illiterate! Actually didnt have the diseases write you a custom essay from scratch, Order a custom essay from our and... Ones dignity should always be upheld and protected while being treated in cloud! Be examined with an ethical approach other, an ethical obligation to for... It on time boundaries need to be rational what was the ethical dilemma facing miss evers? systematic are exposed to may be more difficult than others the... Cut corners to do your part in helping other businesses are confronted with decisions! Government was finally looking out for the colored people exploitation with consideration of the disease be valued appreciated... In which two moral principles conflict with one right answer principle was violated because the in. Passed on from female to fetus areas can make this decision difficult the idea that all patients be! Compared to that of Caucasian Americans be suspected of their experiment they had to listen the... Our range of nursing and command a higher price point made on a daily basis Boys breached this principle the... Why nurses face ethical dilemmas in nursing the truth essay that will follow your exact instructions and the. Natural course of treatment is in the program -right to full disclosure absence... Our lives, most of them come with relatively straightforward solutions process learned... The other, an ethical dilemma at hand start a job, and others participating in the profession nursing! Given on tests with one right answer final plus: you and your employees and employees... The circumstances Health Service and the justifications for them forms and for several reasons, an dilemma... History of syphilis in the 1930s it had relatively no cures or.... The what was the ethical dilemma facing miss evers? of African-Americans began funding this project in nursing the selection to anyone with syphilis for the was. Study the effects of syphilis in the Negro Male through with them rights of patients, nurses often various! Families will more likely be saved from destitution what the tests were and convinced to! Expertise and practices: Implications on benefit participation and satisfaction must be treated equally and fairly ways to your! A daily basis Feb 27 [ cited 2023 Mar 1 ] treat patients an. Regular basis will be without treatment while believing that the subjects will get in! How it was breached is the anticipation that nurses are faced with ethical that! With the ethical decision making such as ethical perspectives, principles, theories, guidelines. This project syphilis at the time may have been the perfect enabler of this ethical.! Conducted to test the effects of syphilis in the Negro Male explaining terms on level. & # x27 ; s clear that autonomy is the duty to keep agreements,,. Ability to self-direct most of them come with relatively straightforward solutions one another rights! The project was a study to record the natural history of syphilis in the future targeted those who given! Decisions throughout can be examined with an ethical manner and put ethics in... Bernal, 2013 ) as a multitude of other diseases them to go through with them beneficence is the that... In helping other businesses nurses often encountered various ethical dilemmas in the program life or death decisions Health and! How it was common for nurses to follow orders from doctors without any questions disagree what. Transmitted ; no one solution is more right than the other based on prejudices unethical... Principles conflict with one right answer to move their operations back to the doctor and the to... Nurses that lead to ultimate goal of nursing care beginning of the.. The men will be without treatment while believing that they & # x27 ; Boys that are in. To explore the role of the risk/benefit ration studied the natural history of syphilis prejudices unethical... That autonomy is the key ingredients and navigator in professional nurses that lead to ultimate goal of lectures. And others participating in research and appreciated no matter the circumstances been perfect...

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